Chapter 1 - CNA

Long-term care (LTC) is a facility for …?

people who need 24 hour skilled care

Skilled care is a medically necessary care given by a _____ _____ or ______. (2)

skilled nurse; therapist

Skilled care is available ___ hours a day

24

Skilled care involves a treatment plan ordered by a ______

doctor

Define Length of Stay

number of days a person stays in facility

Define terminal illness

illness that will eventually cause death

Define chronic conditions

conditions that last a long period of time (even a lifetime)

3 Examples of Chronic Conditions

physical disabilities, heart disease, dementia

People who need LTC will have different _______

diagnoses (or medical conditions determined by a Dr.)

Home health care is provided where?

in a persons’ home

Adult day services are for people who need _____ and ______ during certain hours.

help; supervision

Do adult day services have patients who live in the facility?

no

Acute care is 24-hour skilled care given where? (2)

hopsitals, ambulatory surgical centers

Subacute care is given in what locations? (2)

hospitals, LTC facilities

Outpatient care is given to people who have had? (3)

treatments, procedures, surgeries

Assisted living facilities are residences for people who need help with ____ _____

daily tasks (ex. showering, meals, dressing)

Do those living in assisted living facilities need 24 hour care?

no (they are more independent & it’s more homelike)

Subacute care provides less care than _____ illness but more than _____ illnesses.

acute; chronic

Hospice care is given in facilities/homes for people who have ?

6 months of less to live

Long-term care facilities are businesses that provide _______ nursing care 24 hours a day

skilled

LTC facilities typically offer _____ _____ for all residents and focused care for residents with special needs.

personal care

Personal care includes: (10)

bathing; skin/nail/hair care, mouthcare, help with walking/eating/drinking, transferring, and elimination

The daily personal care tasks are otherwise called?

activities of daily living

Wehn specialized care is offered at LTC facilities, employees must have ? (2)

special training

Person-centered cre emphasizes the ________ of the person who needs care.

individuality (let them choose their preferences)

Trauma-informed care is an approach to a patient care that recognizes that they may have experienced ______ in their lives.

trauma

Medicare is what?

federal health insurance program

Who is eligible for Medicare? (2)

people 65 and over or people of any age with permanent kidney failure (or certain disabilities)

Define Medicaid?

medical assistance program for those with low income (and people with disabilities)

Who funds medicaid?

federal government (and each state)

How is eligibility determined for Medicaid? (2)

determined by income and special circumstances

Medicare and Medicaid pay for LTC facilities a _____ amount for services.

fixed

Nursing assistants (NA) help with (roles/tasks) (6)

bathing, elimination, mobility assistance, transferring, measuring vital signs, assistance with meals

Can NA’s insert of remove tubes?

no

NA’s must also note & record information about the resident; this is known as _____.

charting (documenting)

What healthcare professionals makeup the care team for the residents? (13)

NA, RN, LPN/LVN, APRN, MD/DO, PA, PT (physical therapist), OT (occupational therapist), SLP (speech language pathologist), RD (registered dietitian), MSW (medical social worker), Activities Director, Resident/Resident’s family

The chain of command describes the _____ __ ________.

line of authority

The chain of command protects employees/employers from ______.

liabitlity

Define liability

someone can be held responsible for harming someone else

Define Scope of Practice

the tasks that healthcare providers are legally allowed to do (according to state/federal law)

What’s a care plan? (3)

a list of tasks, services, and treatments tailored to the resident

When NA’s make observations, they must report them to the _____.

nurse (the info can determine their care plans)

Define a policy

a course of action that should be taken every time a certain situation occurs

Define a procedure

a way of doing something

Should I, a NA, perform a task that is not listed in the care plan?

NO

Compassionate means to be

caring/empathetic

Empathy means

identifying with the feelings of others

Sympathy means

sharing in the feelings/difficulties of others

Tactful means

showing sensitivity & knowing whats appropriate

Conscientious means

knowing what’s right/wrong

The Omnibus Budget Reconciliation Act (OBRA) passed in 1987 set _________ _______ __ _____.

minimum stadards of care

OBRA involves the standardized training of ___’s

NA’s

To Cite means to ?

document a problem through a survey

OBRA requires that NA’s must require ___ hours per year of in service education to keep their skills updated.

12

OBRA requires _____ _____ done on every resident.

complete assesements

Resisdents Right’s specify how…

residents must be treated

Residents rights include: (11)

quality of life, services/activities to maintain wellness; right to be informed, to participate in their own care, to independence, to privacy, rights to transfers/discharges, to complain, to visits, rights to social services, and be free from abuse

Reporting abuse/suspected abuse is __ ________ — it is the law.

not optional

In LTC facilities, an ombudsman is assigned by law and they are the

legal advocates for residents

Textbook: When should charting be done?

immediately after care